Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship

Introduction A majority of residents provide care for critically ill patients, yet only a minority of medical schools require ICU rotations. Therefore, many medical students enter residency without prior ICU experience. The third-year internal medicine (IM) clerkship at our institution's Vetera...

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Autores principales:	Daniel Gergen, Joshua Raines, Bryan Lublin, Anna Neumeier, Bill Quach, Christopher King
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	ICU Intensive Care Unit Chalk Talk Critical Care Medicine Internal Medicine Case-Based Learning Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/30fe9904919441ca9fad8f7c4bc3eae4
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spelling	oai:doaj.org-article:30fe9904919441ca9fad8f7c4bc3eae42021-11-19T15:14:44ZIntegrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship10.15766/mep_2374-8265.110322374-8265https://doaj.org/article/30fe9904919441ca9fad8f7c4bc3eae42020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11032https://doaj.org/toc/2374-8265Introduction A majority of residents provide care for critically ill patients, yet only a minority of medical schools require ICU rotations. Therefore, many medical students enter residency without prior ICU experience. The third-year internal medicine (IM) clerkship at our institution's Veterans Affairs Medical Center (VAMC) provided an opportunity for medical students to rotate through an open ICU as part of their inpatient ward rotation. Prior to March 2019, no structured critical care curriculum existed within the IM clerkship to prepare students for this experience. Methods We created a seven-session ICU curriculum integrated within the VAMC IM clerkship addressing core critical care topics and skills including bedside presentations, shock, and respiratory failure. IM residents facilitated the curriculum's case-based, small-group discussions. We assessed curricular efficacy and impact with a pre- and posttest and end-of-curriculum survey. Results Forty-one students participated in the curriculum from March to November 2019. As a result, students agreed that their overall clerkship experience improved (73% strongly agree, 24% agree). Students also reported increased comfort in their ability to participate in the management of critically ill patients (44% strongly agree, 51% agree). Objectively, student performance on a 15-question pre- and posttest improved from a precurricular average of 7.5 (50%) questions correct to a postcurricular average of 10.7 (71%) questions correct (p <.0001; CI 2.2–4.4). Discussion Following implementation of our ICU curriculum, medical student attitudes regarding overall IM clerkship experience, self-perceived confidence in critically ill patient management, and medical knowledge all improved.Daniel GergenJoshua RainesBryan LublinAnna NeumeierBill QuachChristopher KingAssociation of American Medical CollegesarticleICUIntensive Care UnitChalk TalkCritical Care MedicineInternal MedicineCase-Based LearningMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	ICU Intensive Care Unit Chalk Talk Critical Care Medicine Internal Medicine Case-Based Learning Medicine (General) R5-920 Education L
spellingShingle	ICU Intensive Care Unit Chalk Talk Critical Care Medicine Internal Medicine Case-Based Learning Medicine (General) R5-920 Education L Daniel Gergen Joshua Raines Bryan Lublin Anna Neumeier Bill Quach Christopher King Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship
description	Introduction A majority of residents provide care for critically ill patients, yet only a minority of medical schools require ICU rotations. Therefore, many medical students enter residency without prior ICU experience. The third-year internal medicine (IM) clerkship at our institution's Veterans Affairs Medical Center (VAMC) provided an opportunity for medical students to rotate through an open ICU as part of their inpatient ward rotation. Prior to March 2019, no structured critical care curriculum existed within the IM clerkship to prepare students for this experience. Methods We created a seven-session ICU curriculum integrated within the VAMC IM clerkship addressing core critical care topics and skills including bedside presentations, shock, and respiratory failure. IM residents facilitated the curriculum's case-based, small-group discussions. We assessed curricular efficacy and impact with a pre- and posttest and end-of-curriculum survey. Results Forty-one students participated in the curriculum from March to November 2019. As a result, students agreed that their overall clerkship experience improved (73% strongly agree, 24% agree). Students also reported increased comfort in their ability to participate in the management of critically ill patients (44% strongly agree, 51% agree). Objectively, student performance on a 15-question pre- and posttest improved from a precurricular average of 7.5 (50%) questions correct to a postcurricular average of 10.7 (71%) questions correct (p <.0001; CI 2.2–4.4). Discussion Following implementation of our ICU curriculum, medical student attitudes regarding overall IM clerkship experience, self-perceived confidence in critically ill patient management, and medical knowledge all improved.
format	article
author	Daniel Gergen Joshua Raines Bryan Lublin Anna Neumeier Bill Quach Christopher King
author_facet	Daniel Gergen Joshua Raines Bryan Lublin Anna Neumeier Bill Quach Christopher King
author_sort	Daniel Gergen
title	Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship
title_short	Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship
title_full	Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship
title_fullStr	Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship
title_full_unstemmed	Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship
title_sort	integrated critical care curriculum for the third-year internal medicine clerkship
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/30fe9904919441ca9fad8f7c4bc3eae4
work_keys_str_mv	AT danielgergen integratedcriticalcarecurriculumforthethirdyearinternalmedicineclerkship AT joshuaraines integratedcriticalcarecurriculumforthethirdyearinternalmedicineclerkship AT bryanlublin integratedcriticalcarecurriculumforthethirdyearinternalmedicineclerkship AT annaneumeier integratedcriticalcarecurriculumforthethirdyearinternalmedicineclerkship AT billquach integratedcriticalcarecurriculumforthethirdyearinternalmedicineclerkship AT christopherking integratedcriticalcarecurriculumforthethirdyearinternalmedicineclerkship
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Integrated Critical Care Curriculum for the Third-Year Internal Medicine Clerkship

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